New York CNA's...

  1. Sorry, title should be CRNA's

    Tell me what you know/knew about the move to NP status in NY. Was looking through SED laws recently and saw CRNA's listed as an NP in NYS. That is new, very new. Did you know this was happening? How do you feel about it? what is the real situation for work/reimbursement. Is the battle with Anesthesiologists all it is said to be? Are people losing jobs and careers? Come on, inquiring minds want to know. CatskillNP
    Last edit by CatskillNP on Nov 16, '05
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  2. 12 Comments

  3. by   Kiwi
    The correct title is CRNA's (Cerified Registered Nurse Anesthetists). Are you sure the context is right? Since CNA = Certified Nursing Assistant.
  4. by   CatskillNP
    You're absolutely right. So sorry to all the CRNA's out there. My bad. Anyone out there????

    CRNA's have been reclassified as NP's in NYS
  5. by   Nitecap
    Here is what I found, maybe a mix up here.

    Category III--Direct Medical Service Personnel, which includes PAs, NPs, clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), clinical psychologists, and clinical social workers.



    In light of this, and with approval from the study committee, the panel focused almost entirely on Category III providers, designating this group as "nonphysician practitioners." Throughout the remainder of this report, the term NPP refers specifically to these Category III providers.

    Found this associated with the VA hospital rules and regulations. While CRNA's are APN there is a huge difference. They may refer to them as NP's but they cant just change the name of the profession, sorry.
  6. by   CatskillNP
    You're right, they didn't change the name of the profession, they made them nurse practitioners. In NYS only Nurse practitioners are APRN's. Still looking for NY CRNA's. Prior to this summer, a CRNA was not an APRN in NYS
  7. by   Nitecap
    Dude all CRNA's in all states are APRN's. Whether they want to call them APRN's in legislature or CRNA's is another thing. But again, all CRNA's are APRN for the most part. All most all CRNA's still have their RN liscenses as well. They must keep it, its a rule. Fact is they may just be trying to generalize APRN's as a whole but they can not change the name of the profession. Many CRNA's have or say they white coat Joe Blow, APRN, CRNA, MSN ect ect.

    Just as we call all NP APRN's as well but their is peds NP, adult care, acute care yada yada yada, we are all APRN.
  8. by   smogmatt
    just graduated from a NY program, and yes CatskillNP, we were also just made NPs and CRNA's.
    NITECAP, CRNA's in the state of NY were not previously known as APRN's they were not recognized AT ALL by the DOH who regulates CRNA practice in NYS.
    How does this change things? I don't think anyone knows just yet. the Hope is now that CRNA's have been grandfathered into the APRN arena, we will be able to have more autonomy. the problem before CRNA's were not able to bill Medicaid, or State Employees at all for any services preformed independently. so independent CRNA's in the State of NY took a hit any time they preformed anesthesia on these patients.
    I am sure feathers are going to be ruffled but I think it was a good move to get the same recognition as other CRNA's get in other states.
  9. by   CatskillNP
    Nitecap. as smogmatt says, CRNA's were not APRN's in NY. Only NP's were APRN's in NYS. All specialties of NP's are NP's. CRNA's were not APRN's. They were not NP's. Now they are.

    Smogmatt....what and who's feathers do you feel will be ruffled. Will you be working in NY?? NP's in NY cannot get paid by the state employees. they train us, certify us and license us, but NYS in it's wisdom does not pay us. Stil a major battle. CNP
  10. by   jenniek
    What were CRNA considered prior to the change in title? In other states, I've always noted that CRNA's included in the APN rules and regulations. It's interesting to learn that it's taken this long to be included with APN.

    Although......when I lived in Illinois, one of my nursing instructor was the ANA president for IL and stated the IL was very slow in new rules and at that time they were grandfathering in CRNA (and other nurses practicing in a APN role) as APN (this was 2001). Wonder how many other states have yet to grandfather in CRNA's with other APN?
    Jennie
  11. by   CatskillNP
    I believe they were in the same title category as CNS's. Certified Nurse Specialists. Their specialty being anesthesia. I have further learned today that not all CRNA's will be NP's. It will require additional education within an approved/accredited program. Very muddy indeed, but very interesting all the same. CNP
  12. by   smogmatt
    CatskillNP, your right not all CRNA's will be NP's our school had designed its curriculum specifically so it would met criteria for the students to become NP's (there by grandfathering in to APRN status) My understanding is this was done because the NYS assembly or the DOH would not recognize CRNA's as APRN's, this was a means to an end. Don't worry no CRNA's are going complete for NP's jobs.
  13. by   CatskillNP
    that wasn't isn't the worry. No turf wars here Was actually much more interested in the process. How it came to be. What was the impetis? what is the gain? If CRNA's can petition and become NP's, what do CNS's have to do to be the same...just interesting informatinon as I said. I'm learning mroea bout it everyday. Smogatt, you staying in NY???? CNP
  14. by   DIVER CRNA
    hello all,

    for all of those new york CRNA's it has recently been decided you may apply for recognition as an NP in the state. all of the paperwork necessary for this status is on the state office webpage. This is an enormous move for the state, because now we will have the access to perscription/order writing. Which means we can write post op orders without a co-sign, work in CRNA only OR's etc For those who are unaware, most of what CRNA's have been doing in the OR has been illegal until now. Technically, when we wanted to adjust our inhaled anesthetic, or give any other drug we were supposed to consult with the MD first. Of course this never happened and no legal action was ever taken that i am aware of. this is primariliy do to issues of money---as always. We were allowed to break the law because no hospital was going to go out of business by enforcing it, and no one in politics can bear the burden of a closing hospital--it just doesn't look good in re-election years.

    This NP status is not a change in law--yet, but it is the first huge step into getting advanced practice laws set in this state--and you can only guess who is very upset that this is happening--MD's. This is a war over money and turf, and it has become a very bitter one. New york is a bit behind the curve in legislative progress, but this is changing rapidy.

    For those CRNA's in New York fill out the paper work and take the short perscription course necessary to write perscriptions--push forward and good luck.

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